Yellowing of the skin or eyes
Dark urine
Pale or clay-colored stools
Persistent fatigue
Nausea or vomiting
Loss of appetite
Abdominal pain or swelling, especially in the upper right side
Swelling in the legs or ankles
Easy bruising or bleeding
Itchy skin
Confusion, trouble concentrating, or sleepiness
Unexplained weight loss
Red palms
Spider-like blood vessels on the skin
Blood tests showing abnormal liver enzymes or bilirubin
Imaging tests showing liver abnormalities
Medical evaluation by a doctor